Provider Demographics
NPI:1326161209
Name:DORNINGER, ERIC PETER (ND, LAC)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:PETER
Last Name:DORNINGER
Suffix:
Gender:M
Credentials:ND, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:890 ORMAN DR
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-2617
Mailing Address - Country:US
Mailing Address - Phone:720-938-0939
Mailing Address - Fax:720-974-1133
Practice Address - Street 1:3014 BLUFF ST STE 100
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-2165
Practice Address - Country:US
Practice Address - Phone:720-406-9447
Practice Address - Fax:720-974-1133
Is Sole Proprietor?:No
Enumeration Date:2007-04-07
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO948171100000X
WANT00001578175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist